Clinicoepidemiological profile of peritonitis complicating acute peritoneal dialysis : a single-center experience

Abstract EN

A prospective observational study examining the incidence and microbiological aspects of peritonitis complicating acute intermittent peritoneal dialysis (IPD) was performed.

A total of 145 acute IPD treatments were included involving 112 patients.

The majority of patients suffered from acute kidney injury (72.3 %) secondary to sepsis.

Peritonitis occurred in 31 treatment sessions, giving a frequency of 21.4% of procedures performed.

The mean interval between starting dialysis and the first sign of peritonitis was 2.9 days, with 58 % of cases occurring in the Intensive Care Unit.

Frequent catheter manipulation / repositioning and leakages were identified as significant predisposing factors for peritonitis, and the risk of peritonitis was increased with longer duration of IPD.

Gram-negative infections were more common than Grampositive infections.

The use of systemic antibiotics did not prevent the development of peritonitis.